• Novo Nordisk Inc. (Plainsboro, NJ)
    About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... and developing and implementing regulatory strategies with the FDA to providing medical education and collecting data to support efficacy and new product… more
    HireLifeScience (12/11/24)
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  • Merck & Co. (Rahway, NJ)
    …science to deliver measurable impact in commercial pharma landscape.Knowledge in mining medical claims /EMR, social media, etc. data with a strategic/inquisitive ... Job DescriptionThe Associate Director Data Science will be responsible for developing and communicating data-driven and actionable insights that drive greater… more
    HireLifeScience (01/14/25)
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  • Merck & Co. (Rahway, NJ)
    … needs to support collaboration to further differentiate our portfolio.The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... Job DescriptionOur Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
    HireLifeScience (01/10/25)
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  • Medical Director -- Claims

    Humana (Trenton, NJ)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/29/24)
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  • Assistant Claims Manager (Military Move)

    HomeSafe Alliance (Trenton, NJ)
    …and motivated Assistant Claims Manager to assist in all aspects of claims management , to support and promote process improvement methodologies and best ... Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes and… more
    HomeSafe Alliance (01/15/25)
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  • Manager, Claims System Configuration

    VNS Health (Manhattan, NY)
    …(TPA) and other internal departments, including marketing and enrollment, provider network management , medical management , claims , and customer ... OverviewManages the configuration and maintenance of the claims system used to administer operations of current...Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life and Disability + Employer-matched retirement… more
    VNS Health (12/04/24)
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  • Medical Director - Florida

    Humana (Trenton, NJ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (12/14/24)
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  • Medical Director - National Medicare…

    Humana (Trenton, NJ)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
    Humana (11/08/24)
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  • Director , Risk Management & Patient…

    Mount Sinai Health System (New York, NY)
    …of new staff. 8. Collaborates with the professional liability carrier and oversees claims management with the carrier(s). 9. Works collaboratively with patient ... **Job Description** The Director for the Risk Management and...hospital operations to include experience in a hospital or medical center dealing with regulatory issues. + Experience with… more
    Mount Sinai Health System (12/27/24)
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  • Senior Claim Director

    Axis (New York, NY)
    claims as well as the related coverage issues ensuring accurate and consistent claims management across impacted underwriting segments and lines of business + ... the selection process. AXIS is seeking a _Senior Claim Director , Specialty Complex_ _Claims_ to join our North America... skills + Experience practicing law as well as claims management (both directly managed and TPA… more
    Axis (10/18/24)
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  • Director , HIV Medical Affairs - NYC…

    Merck (New York, NY)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
    Merck (12/19/24)
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  • Director , Risk Management

    Western Digital (Trenton, NJ)
    …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… more
    Western Digital (12/27/24)
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  • Medical Director

    Molina Healthcare (New York, NY)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
    Molina Healthcare (12/26/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Trenton, NJ)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (01/07/25)
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  • Global Medical Director , Early…

    Sanofi Group (Bridgewater, NJ)
    **Global Medical Director , Early Pipeline Respiratory, Global Medical Immunology** **About Sanofi** At Sanofi, we are committed to the growth of our people, ... millions of patients around the world. **Job Responsibilities:** + The Early Pipeline Respiratory Medical Director reports to the Global Medical Head of… more
    Sanofi Group (12/14/24)
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  • Global Medical Immunology Pipeline…

    Sanofi Group (Bridgewater, NJ)
    …chronic dermatologic, respiratory, and gastrointestinal diseases. **Position Summary** + The Global Medical Director of Dermatology, reports to the Global ... will closely collaborate with cross-functional teams, develop, and execute asset medical plans, support lifecycle management activities, and integrate… more
    Sanofi Group (12/11/24)
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  • Oncology Regional Medical Scientific…

    Merck (Trenton, NJ)
    …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
    Merck (01/10/25)
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  • Director , Human Resources

    Brennan Center for Justice (New York, NY)
    …contact for insurance company and provides requested information for the settlement of claims and payment of claimant's medical expenses incurred from injury. ... and justice in the United States, is seeking a highly skilled and experienced Director of Human Resources (HR) to support the Chief Human Resources Officer (CHRO) in… more
    Brennan Center for Justice (12/18/24)
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  • Director of Disability Retirement Services

    City of New York (New York, NY)
    …for the Director of Disability Retirement Services: Leadership and Management : Oversee the Medical Operations teams comprising 21 team members, ... process while driving transformative improvements in service delivery including case management . The Director will champion a results-oriented approach,… more
    City of New York (01/07/25)
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  • Director , US Benefits

    Cardinal Health (Trenton, NJ)
    …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the...Benefits to lead and oversee the design, implementation, and management of employee benefit programs. This role will be… more
    Cardinal Health (01/11/25)
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